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Dunn J, Lloyd I, Steel A, Adams J, Wardle J. Naturopathic Workforce: A Global Resource Toward the Declaration of Astana Goals-A Multimethods Study. J Integr Complement Med 2023. [PMID: 36944124 DOI: 10.1089/jicm.2022.0665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/23/2023]
Abstract
Introduction: The World Health Organization identified health to be the most important social goal and the 1978 Declaration of Alma Ata placed primary health care central to its attainment and the UN Sustainable Development Goals (SDGs) as the template. The Astana Declaration called on a change of focus in primary care, from treatment of specific diseases to the prevention and inclusion of both scientific and traditional knowledge. Such objectives require public-private partnerships in providing health care, including traditional and complementary medicine systems such as naturopathy that align. However, there is limited understanding of global regulatory frameworks and officially recognized training for naturopathy. Materials and Methods: This descriptive study employs an adapted mixed-methods explanatory framework to examine naturopathy regulation and education. Analysis merges data arising from a descriptive policy analysis of regulation from 36 countries and survey analysis from 65 naturopathic organizations from 29 countries. Results: Four types of workforce regulation were identified within 107 countries where naturopathy was practiced-statutory registration or occupational licensing, coregulation, negative licensing, and voluntary certification. No form of naturopathic regulation was most common. Higher graduate/postgraduate education and access to a broader range of practices were more frequently reported in countries where naturopathy is statutory regulated. Government audits were more frequently reported where naturopathy was statutory regulated or coregulated. Discussion: Naturopathic philosophy and practice align with primary health care goals outlined in the Declaration of Astana. The naturopathic workforce represents an untapped health care resource with a demonstrated track record of translating these aspirational goals into practice. However, naturopathy remains inconsistently regulated globally, serving as a significant barrier to partnering with other health system actors to attain the health-related SDGs. Workforce regulation for the naturopathic profession offers increased standards, reduced risks, integrative health workforce planning, and assistance to countries toward achieving the promise of the Declaration of Astana.
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Affiliation(s)
- Jill Dunn
- Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), School of Public Health, University of Technology Sydney, Ultimo, Australia
- World Naturopathic Federation, Toronto, Canada
| | - Iva Lloyd
- World Naturopathic Federation, Toronto, Canada
- Canadian College of Naturopathic Medicine, Toronto, Canada
| | - Amie Steel
- Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), School of Public Health, University of Technology Sydney, Ultimo, Australia
| | - Jon Adams
- Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), School of Public Health, University of Technology Sydney, Ultimo, Australia
| | - Jon Wardle
- Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), School of Public Health, University of Technology Sydney, Ultimo, Australia
- National Centre for Naturopathic Medicine, Southern Cross University, Lismore, Australia
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Simkin S, Chamberland-Rowe C, Damba C, Sava N, Lim T, Bourgeault IL. Implementing leading practices in regional-level primary care workforce planning: Lessons learned in Toronto. Healthc Manage Forum 2023; 36:15-20. [PMID: 36239042 DOI: 10.1177/08404704221117263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Investment in capacity for implementation of leading practices in regional-level health workforce planning is essential to support equitable distribution of resources and deployment of a health workforce that can meet local needs. Ontario Health Toronto and the Canadian Health Workforce Network (CHWN) co-developed and operationalized an integrated workforce planning process to support evidence-based primary care workforce decision-making for the Toronto region. The resultant planning toolkit incorporates planning processes centred around engagement with stakeholders, including environmental scanning tools and a quantitative planning model. The outputs of the planning process include estimates of population need and workforce capacity and address challenges specific to Toronto, such as patient mobility, anticipated rapid population growth, and physician retirement. We highlight important challenges and key considerations in the development and operationalization of workforce planning processes, particularly at the regional level.
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Affiliation(s)
- Sarah Simkin
- 12365University of Ottawa, Ottawa, Ontario, Canada
| | | | | | | | - Ting Lim
- 508783Unity Health Toronto, Toronto, Ontario, Canada
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MacKenzie A, MacQuarrie C, Murphy M, Piers G, Philopoulos K, Carrigan S, Joice J, Kapra J, Casault CA, MacDougall J, Langley JM, Tomblin Murphy G. Operationalizing integrated needs-based workforce planning at Nova Scotia Health in response to the COVID-19 pandemic. Healthc Manage Forum 2022; 35:222-230. [PMID: 35748087 PMCID: PMC9234379 DOI: 10.1177/08404704221093982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
This paper documents Nova Scotia Health’s progress in operationalizing integrated
needs-based workforce planning as part of its ongoing response to the pandemic.
A multidisciplinary workforce planning team with representation spanning key
portfolios was created to facilitate the organization’s response to the
pandemic. Analyses applied early in Wave 3 of the pandemic showed large
projected shortages in several professions and identified which services would
likely be scarcest among the available workforce relative to patient need. Based
on these results, the workforce planning team recommended and supported
operational teams in implementing a multi-faceted set of interventions aimed at
increasing the availability of individuals with these competencies. These
interventions collectively yielded an adequate supply of additional competent
personnel to meet the needs of COVID-19 inpatients across the province through
the third wave of the pandemic. Lessons learned are proving critical to
maintaining core operations during Wave 4 of the pandemic.
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Affiliation(s)
- Adrian MacKenzie
- 432234Nova Scotia Health, Halifax, Nova Scotia, Canada.,Dalhousie University, Halifax, Nova Scotia, Canada.,WHO/PAHO Collaborating Centre on Health Workforce Planning & Research, Halifax, Nova Scotia, Canada
| | | | | | - Geoff Piers
- 432234Nova Scotia Health, Halifax, Nova Scotia, Canada
| | | | | | - Jesse Joice
- 432234Nova Scotia Health, Halifax, Nova Scotia, Canada
| | - Junaid Kapra
- 432234Nova Scotia Health, Halifax, Nova Scotia, Canada
| | | | | | - Joanne M Langley
- 432234Nova Scotia Health, Halifax, Nova Scotia, Canada.,Dalhousie University, Halifax, Nova Scotia, Canada.,IWK Health Centre, Halifax, Nova Scotia, Canada
| | - Gail Tomblin Murphy
- 432234Nova Scotia Health, Halifax, Nova Scotia, Canada.,Dalhousie University, Halifax, Nova Scotia, Canada.,WHO/PAHO Collaborating Centre on Health Workforce Planning & Research, Halifax, Nova Scotia, Canada
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